Provider Demographics
NPI:1164404539
Name:CORBIN, DEBORAH KATHERINE (MS, PA-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:KATHERINE
Last Name:CORBIN
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:KATHERINE
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 932127
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0008
Mailing Address - Country:US
Mailing Address - Phone:216-369-2835
Mailing Address - Fax:
Practice Address - Street 1:6701 ROCKSIDE RD STE 350
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2351
Practice Address - Country:US
Practice Address - Phone:216-369-2835
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2207363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant